A Public Health Strategy for the Opioid Crisis

Framing the opioid crisis from a public health perspective requires considering the interaction of multiple determinants, including structural factors (eg, poverty and racism), the inadequate management of pain, and poor access to addiction treatment and harm-reduction services (eg, syringe services). 

This novel ecological framework for harmful opioid use provides multiple recommendations to improve public health and clinical practice, including improved data collection to guide resource allocation, steps to increase safer prescribing, stigma-reduction campaigns, increased spending on harm reduction and treatment, criminal justice policy reform, and regulatory changes related to controlled substances.

Resource Type
Peer-reviewed Articles and Reports
Continuum of Care
Full continuum of care
Harm Reduction
Response Approach
Cautious Opioid Prescribing
Medications for Opioid Use Disorder
Overdose prevention
Peer-reviewed Article

Saloner, B., McGinty, E. E., Beletsky, L., Bluthenthal, R., Beyrer, C., Botticelli, M., & Sherman, S. G. (2018). A Public Health Strategy for the Opioid Crisis. Public Health Reports, 133(1_suppl), 24S-34S.